FACTORS ASSOCIATED WITH TOTAL HIP AND KNEE ARTHROPLASTY OUTCOMES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 48
Abstract
BACKGROUND Total joint replacement is potentially an effective option for treatment of patients in the end-stage arthritis. Limited data exists about the outcome of this surgery and the related factors in Iran. Aim- The purpose of this study was to assess the total hip and knee arthroplasty outcome and its predictors in northern Iran. MATERIALS AND METHODS In this prospective observational study, we included the patients who underwent total hip and knee arthroplasty during 2014- 2017 and 2015-2017, respectively, in Rohani and Shahid Beheshti Teaching Hospitals affiliated to Babol University of Medical Sciences. To investigate the hip and knee function following the surgeries, we used the Knee Society Score and Harris Hip Score, respectively. Higher scores show better status. Post-operative complications were also recorded. We evaluated the patients’ scores before the operation and twelve weeks post-operatively. Patients’ characteristics were collected by a checklist. RESULTS In this prospective observational study, a total of 200 patients were enrolled, of whom 70 (35%) underwent total knee arthroplasty and 130 (65%) underwent total hip arthroplasty. Eighty-eight (44%) patients were men and others were women. The mean age was 58.07±15.19 (ranging from 18 - 88) years old. The mean Knee Score before total knee arthroplasty was 29.4±74.12, progressed to 81.9±36.59 after 12 weeks (p < 0.001). About the mean Harris Hip Score, it was 51.71±7.94 before total hip arthroplasty, improved to 82.64±5.61 after 12 weeks (p < 0.001). Most of the patients (n= 181, 90.5%) did not experience any postoperative complications and infection was the most frequent complication (8 patients). According to the analyses, there were no significant relationships between the different factors including age, sex, marital status, occupation, educational level and body mass index and Harris Hip score and Knee score. CONCLUSION Both total hip and knee arthroplasties were safe procedures with high rate of satisfaction and low rate of complications. By the way, demographic variables did not significantly affect the surgery’s outcome.
Authors and Affiliations
Safa Ghanghermeh, Seyed Mohammad Reza Esmaeilnejad-Ganji, Masoud Bahrami, Soraya Khafri, Seyed Mokhtar Esmaeilnejad-Ganji
Keywords
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- EP ID EP548286
- DOI 10.14260/jemds/2018/1144
- Views 74
- Downloads 0
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